Douglas H Mar, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001558 Issued in WA

Practice address

13014 120TH Ave NE
Kirkland, WA 98034-3015

Phone

(425) 821-8004

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Mason Medical Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Seattle, WA
  • NPI 1043375587
  NPD
• Virginia Mason Medical Center

  • Surgery Physician
  • Seattle, WA
  • NPI 1154487452
  NPD
• Virginia Mason Medical Center

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
  • NPI 1164586020
  NPD
• Virginia Mason Medical Center

  • Podiatrist
  • Seattle, WA
  • NPI 1215085097
  NPD
• Virginia Mason Medical Center

  • Cardiovascular Disease Physician
  • Seattle, WA
  • NPI 1225193766
  NPD
• Virginia Mason Medical Center

  • Dermatology Physician
  • Seattle, WA
  • NPI 1235293101
  NPD
• Virginia Mason Medical Center

  • Registered Dietitian
  • Seattle, WA
  • NPI 1235295536
  NPD
• Virginia Mason Medical Center

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1316094816
  NPD
• Virginia Mason Medical Center

  • Pulmonary Disease Physician
  • Seattle, WA
  • NPI 1346304201
  NPD
• Virginia Mason Medical Center

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1407911944
  NPD
• Virginia Mason Medical Center

  • Neurological Surgery Physician
  • Seattle, WA
  • NPI 1487701991
  NPD
• Virginia Mason Medical Center

  • Urology Physician
  • Seattle, WA
  • NPI 1588712376
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1689712929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS:M4-PA",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-515-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343015",
            "telephone_number": "425-821-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SPECIALIST PIN",
            "identifier": "US0861769",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101103",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "MA8570",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES#",
            "identifier": "0039597",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theron Angus Manson I, DDS
• Iqra Mansoor
• Sheila Nicole Mansurov, MA, LMHC, SOTP
• Manual Therapy International P.S., P.L.L.C.
• Judi Lee Mar-Burbidge, PHARMD, FASCP
• Kaysee Mar, LMHCA
• Lyle Ardon Marcus-Love, D.C.
• Patrick Neal Marcus, MD
• Gerrie Margell
• Marianna Beetham, D.D.S., P.S.

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.